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1205593647
CHARLETTE BLACK
LAS VEGAS, NV
NPI
1205593647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
CHARLETTE BLACK
4765 HARRISON DR APT 105
LAS VEGAS, NV 89121-5564
Phone number: 909-990-6235
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Mailing Address
CHARLETTE BLACK
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145-5749
Phone number:
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